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WorksheetsMosby PART 2
Total questions: 35
Worksheet time: 26mins
The OT was asked to design a tenodesis splint for a patient with an incomplete C6 SCI. Which therapeutic goal would this treatment MOST likely support?
Patient will be able to use the hands to perform grasp and release
Patient will be independent with manipulation of fasteners
Patient will assist with self-feeding using adapted equipment
Patient will be able to put on and remove garment using overhead technique
A patient is referred to OT for splinting. The goal of splinting is to increase ROM that will eventually allow improvement in fine motor coordination and prehension patterns. Which strategy should the OT use to accomplish this goal?
Apply a dynamic splint for controlled motion
Apply prolonged stretch to the joint and soft tissue
Position the extremity in a functional hand position
Position the extremity in the safe hand or antideformity position
A client with a TBI is attending a work rehabilitation program. The long-term goal is to have the patient resume work at a food processing plant handling the canning process. Overall strength and coordination are good, but the client exhibits occasional angry outbursts with other workers. The OT program should include:
A program that stimulates the procedures for canning
Prework hardening with emphasis on social interactions and work readiness
Recommendations to physician for medication to help impulse control
Recommendation for client to delay therapy until behavior is controlled
The OT is working with a child who has some behavioral issues and the child's family as well. What are important cultural contextual factors that need to be considered in therapy?
Family's view of disability, discipline and value of independence
School's view of child's academic performance
Family's view of their fit and status in the community
Family's financial status and level of education
An office worker experienced an injury that resulted in being confined to a wheelchair. When the worker returned to work, an OT was consulted to assess the worker and make recommendations about reasonable accommodations. The OT's recommendations should address:
Accessing the building, work area, and bathrooms
Remodeling the building to accommodate the individual's wheelchair
Renting a new office space for the individual
Investigating other job possibilities
The OT designing an intervention plan for a 10 y/o with a learning disability. The intervention plan should focus on developing performance skills related to:
Tactile-kinesthetic input
Behavioral issues
Motor function
Cognition
A patient presents with morning stiffness, joint inflammation, muscle weakness, and difficulty with community mobility and ADLs. The OTs initial goals should be:
Preservation of muscle strength
Maintenance of lifestyle
Relief of pain and inflammation
Education of patient to use adapted equipment
During a treatment session, the OT observes that the patient can flex the affected shoulder through its full ROM in side lying. The OT should progress to activities that places the extremity in:
Gravity-assisted position
Gravity-eliminated position
Neutral position
Antigravity position
A patient with peripheral neuropathy has impairment of sensation in bilateral feet and hands. The main focus of treatment should be:
Desensitization techniques
Sensory retraining or re-education
Compensatory techniques related to safety
Assisting patient in diminishing stereognosis
To evaluate the proper fit of a splint given to a patient, the OT should:
Instruct the patient to return to rehab facility if any redness occurs
Observe for signs of redness after 20 minutes of wearing the splint
Use a splint pattern to custom make the splint for the patient
Observe for pressure marks after 24 hours of wearing the splint
The BEST description of the Model of Human Occupation is:
Activity applies the mechanical principles of kinetics and movement
Sensorimotor principles are applied to activity and occupation
Engagement in occupation occurs within the environment
Central nervous system produces well-modulated movements utilized in occupation
To promote visual tracking for preschooler who has poor tracking skills, which recommendation is the MOST appropriate for the OT to make to the parents for a home program?
Throwing and catching a ball
Catching and bursting soap bubbles
Playing soft ball
Tossing and catching water balloons
A community outing of bowling is planned for a group of elderly patients from a daycare center. Neuromuscular factors that the OT must consider before engaging in the activity are:
Cognition and ability to follow instructions
Strength, coordination and endurance
Attention span and hearing ability
Visual scanning and tracking
An OT in a community center would like to select the best activity to facilitate socialization and to increase several participants' energy level. The BEST choice would be:
Chair aerobic group
Cooking group
Card game tournament
Walk along a path in the park
An 85 y/o client with normal age-related physical changes will have the MOST cardiovascular stress with which of the following activities?
Brushing teeth at the sink while holding onto the counter
Getting dressed while sitting on the edge of the bed
Walking to the mailbox 250 feet from the house
Carrying a basket of laundry from the basement
An elderly client presents with an ulnar nerve injury, for which the OT fabricates a splint. The therapist must take into consideration which of the following goals?
Assist function of thumb for tip to tip prehension
Assist grasp by providing stability of the wrist in extension
Prevent clawing and assist in grasp and release
Prevent overstretching the wrist extensors
The OT is working in the hospital with an 8 y/o child who has burns over 70% of the body. During the initial acute phase of treatment, the OT's primary objective is to:
Assess the child's community participation skills
Return the child to developmentally appropriate levels of play
Prevent loss of joint mobility
Educate the parent on how to advocate for the child's needs when returning to school
The OT is working with a 3rd grade student on handwriting. The OT is asking the child to copy a sentence from the chalkboard to the paper. The OT notices that the child writes down one letter at a time and then looks back to the chalkboard to complete one sentence. The child is MOST likely experiencing difficulty with:
Visual closure
Selective attention
Visual memory
Figure ground
A 7 y/o child with sensory integration dysfunction is working with an OT on the school's playground. The child looks at all of the playground equipment and verbalizes a detailed plan on how to move across the various obstacles. When asked to execute these actions, the child had difficulty making the body do what was conceptualized. The OT needs to address sensory integration dysfunction related to:
Somatodyspraxia
Gravitation insecurity
Modulation
Tactile defensiveness
A child has difficulty holding a fork during self-feeding because of decreased sensory receptors in the hand. The OT will MOST likely recommend the use of:
Weighted utensil
Utensil with a cuff
Larger utensil
Textured utensil
When developing a home program for a child with decreased hand and arm strength, the OT will MOST likely suggest that the child is presented with opportunities to:
Sort dried beans
Play board games
Finger paint
Stir cookie dough
The OT is working in the school systems with the 18-21 y/o population. The focus of OT is MOST likely to address:
Educational goals
Transition goals
Leisure goals
Self-care goals
According to Bobath, the BEST way to regulate increased flexor tone of the upper extremity is by:
Positioning the pelvis forward
Positioning the body in supine
Weight bearing over the involved upper extremity
Trunk rotation
When instructing a hemiplegic patient on dressing techniques, it is very important that the patient is instructed in which of the following:
Weaker arm or leg is dressed first
Stronger arm or leg is dressed first
Clothes with elastic are easier to wear
Clothes a size larger than usual are easier to wear
When facilitating movement in a patient who has sustained a CVA you use the technique of tapping the wrist extensors. This would come from:
Brunnstrom
Bobath
Proprioceptive neuromuscular facilitation
None of the above
A stand pivot transfer would be used for a client when the client:
Can come to standing and weight shift while the therapist secures the client with a transfer belt
Is learning to use a walker for ambulation
Is able to do some, but not full, weight bearing on one or both legs
Has lower extremities that are too weak for weight bearing
The goal of therapy for a patient is to develop and improve hand coordination and skills. The OT should recommend purposeful activities, such as:
Games, crafts, and self-care tasks
Using theraputty and hand gripper
Cone stacking and placing pegs in a board
Playing a "clapping game"
A patient with a head injury demonstrates confusion and constant agitation. The OT intervention should focus on:
Self-care skills
Attention span and safety
Sequencing and organizing tasks
Functional transfers
Your patient is refusing all groups. You would:
Realize that you can't make the patient go and remove the patient from your caseload
Tell the patient that it's mandatory and the doctor said that the patient has to participate
Get the nurse to make the patient go
Ask the patient to tell you why they do not want to participate
A parent reports that their child sleeps pushed up against the sides of the crib. The parent states that the child pushes hard into one end of the crib. The OT realizes that this child requires treatment that focus on:
Proprioceptive input of deep pressure
Vestibular input of spinning
Light touch
Kinesthetic input
An OT in early intervention suggests to a family that their child, who is sensory defensive, would benefit from having the tags cut out of his T-shirts. The term that BEST describes this type of intervention is:
Adaptation
Supportive
Reframing
Remediation
OTs contribute to the goal of inclusion for all children. When children are included, services are provided in a:
Natural environment
Special education classroom
Specifically designated area
Rehabilitation clinic
EBP is the determination of intervention strategies based on:
Extent research findings
Research findings, the OT's own experiences, and family priorities
An OT's expert opinion
Other discipline's practice
Which of following theories / approaches would be MOST associated with intervention emphasizing structure and feedback during performance of hand skills as well as repetition of activities?
Motor learning theory
Developmental FOR
Sensory integration FOR
Behavioral theory
Which ADL activity would the OT caution a patient with a recent hip replacement to avoid?
Tying shoes
Pulling up pants
Putting on shirt
Bathing the back
